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psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
September 21, 2022 - Commentary
Why even good physicians do not wash their hands.
Citation Text:
Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319.
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psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
August 29, 2018 - Review
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Citation Text:
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - Study
The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.
Citation Text:
Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…
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psnet.ahrq.gov/issue/multihospital-safety-improvement-effort-and-dissemination-new-knowledge
September 23, 2020 - Study
A multihospital safety improvement effort and the dissemination of new knowledge.
Citation Text:
Mills PD, Weeks WB, Surott-Kimberly BC. A multihospital safety improvement effort and the dissemination of new knowledge. Jt Comm J Qual Patient Saf. 2003;29(3):124-133.
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psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
March 04, 2011 - Study
Comparison of potential risk factors for medication errors with and without patient harm.
Citation Text:
Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8)…
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psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - Commentary
Notes on healing after a missed diagnosis.
Citation Text:
Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724.
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psnet.ahrq.gov/issue/latent-bias-and-implementation-artificial-intelligence-medicine
August 18, 2021 - Commentary
Emerging Classic
Latent bias and the implementation of artificial intelligence in medicine.
Citation Text:
Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. d…
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety.
Citation Text:
Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401.
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psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health
January 12, 2022 - Organizational Policy/Guidelines
The impact of racism on child and adolescent health.
Citation Text:
Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765.
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psnet.ahrq.gov/issue/patient-safety-developing-countries-retrospective-estimation-scale-and-nature-harm-patients
March 23, 2011 - Study
Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital.
Citation Text:
Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hos…
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psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-recommendations-reprocessing
March 11, 2015 - Press Release/Announcement
FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing.
Citation Text:
FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Commentary
Imitating incidents: how simulation can improve safety investigation and learning from adverse events.
Citation Text:
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…
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psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Review
Emerging Classic
Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Citation Text:
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:…
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psnet.ahrq.gov/issue/patients-count-it-initiative-reduce-incorrect-counts-and-prevent-retained-surgical-items
September 29, 2017 - Commentary
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Citation Text:
Norton EK, Martin C, Micheli AJ. Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items. AORN J. 2011;95(1). doi:10.…
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psnet.ahrq.gov/issue/quick-response-codes-surgical-safety-prospective-pilot-study
June 07, 2016 - Study
Quick Response codes for surgical safety: a prospective pilot study.
Citation Text:
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
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psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
April 11, 2018 - Newspaper/Magazine Article
How one hospital improved patient safety in 10 minutes a day.
Citation Text:
How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
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psnet.ahrq.gov/issue/reality-check-checklists
April 21, 2015 - Commentary
Classic
Reality check for checklists.
Citation Text:
Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5.
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - Study
Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants.
Citation Text:
Bismark M, Brennan TA, Davis PB, et al. Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimant…
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psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
February 24, 2011 - Study
Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.
Citation Text:
Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…